| NPI | 1215579214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: FL RN9498730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11024404) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-02-20 |